| NPI | 1013230622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP030138L) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03-3-25675) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |